Sponsor a Youth Attendee - Printable Form

I would like to sponsor a youth to attend the True Colors conference.  Enclosed is my gift.  

(Please type or print clearly)

Your Name: ____________________________________

Your Address: __________________________________

City: __________________, State: _____  Zip: _________

Email Address: __________________________________

Phone Number: __________________________________

I would like my gift to remain anonymous*:  Yes    No

Gift Amount:  ___ $75.00 (allows one youth to attend)
                       ___ $150.00 (allows two youths to attend)
                       ___ $225.00 (allows three youths to attend)
                       ___ $400.00 (allows four youths to attend)
                       ___ Other Amount: $________

*If you choose to make your gift anonymously, your privacy will be respected.  Your personal information will not be divulged to any party.  If you choose to be identified for making this gift, your name will appear in the True Colors conference guide.  All other personal information will be kept confidential.

Please send your gift to:

True Colors
576 Farmington Avenue
Hartford, CT 06105

Please make checks payable to True Colors, Inc.

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